| Steven L Wallentine, MD | |
|
1055 N 500 W, Suite 202, Provo, UT 84604-3305 | |
| (801) 374-2367 | |
| (801) 429-8015 |
| Full Name | Steven L Wallentine |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 25 Years |
| Location | 1055 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790736122 | NPI | - | NPPES |
| 87028102800B | Other | UT | EMIA |
| 870281028000 | Medicaid | UT | |
| 88780 | Other | UT | PEHP |
| 933849 | Other | UT | DMBA |
| P00345446 | Other | UT | PALMETTO |
| I62333 | Other | UT | UPIN |
| 36-00187 | Other | UT | UHC |
| 107046686101 | Other | UT | IHC |
| 285195 | Other | UT | ALTIUS |
| 6098631120000 | Other | UT | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 60986311205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gunnison Valley Hospital | Gunnison, UT | Hospital |
| Castleview Hospital | Price, UT | Hospital |
| Sevier Valley Hospital | Richfield, UT | Hospital |
| Central Valley Medical Center - Cah | Nephi, UT | Hospital |
| Utah Valley Hospital | Provo, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Utah Clinic Pc | 7517868508 | 388 |
| Entity Name | Central Utah Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven L Wallentine, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Steven L Wallentine, MD 1055 N 500 W, Suite 202, Provo, UT 84604-3305 Ph: (801) 374-2367 |
Dr. Christopher Gordon, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 745 N 500 W Ste 200, Provo, UT 84601 Phone: 801-375-9292 Fax: 801-375-9290 | |
Daniel N. Bennett, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 Phone: 801-373-4366 | |
Pace Romney, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 210, Provo, UT 84604 Phone: 801-357-0280 | |
Dr. Christopher Ryan Lew, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-960-7558 | |
Albert Rivero, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604 Phone: 801-357-8310 | |
Dr. Wenshu Yu, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604 Phone: 801-818-1940 Fax: 801-818-1945 | |
William T. Stephenson Ii, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604 Phone: 801-357-8200 Fax: 801-357-8201 |